Cystic fibrosis (CF) occurs in 1 in 4,000 births, and there are approximately 70,000 people worldwide who have CF. Aspergillus lung infection is often found in people with CF, is more common in adults and becomes increasingly common as lung function declines.

Every facility providing maternity services and care for newborn infants should: Show mothers how to breastfeed and how to maintain lactation, even if they should be separated from their infants.
Nursing staff should offer further assistance with breastfeeding within six hours of delivery and mothers should be shown how to express their milk or given written information on expression and/or advised where they could get help, should they need it...Mothers with babies in special care should be helped to initiate and maintain lactation by frequent expression of breastmilk...Staff should teach mothers positioning/attachment and techniques for manual expression of breastmilk.
A situation can arise when the baby has to be separated from her mother for a specific medical reason. The fifth step is to show the mother how to maintain lactation by expression of breast milk or to visit her baby in the intensive case as often as possible.
More inf
http://tensteps.org/step-5-successful-breastfeeding.shtml
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Ten Steps to Successful Breastfeeding - Video Series
Babies who are breastfed are generally healthier and achieve optimal growth and development compared to those who are fed formula milk.
If the vast majority of babies were exclusively fed breastmilk in their first six months of life -- meaning only breastmilk and no other liquids or solids, not even water -- it is estimated that the lives of at least 1.2 million children would be saved every year. If children continue to be breastfed up to two years and beyond, the health and development of millions of children would be greatly improved.
This video series aims to raise awareness, encourage early adoption, promote training of health care staff, and build capacity for, and to stimulate dialogue about, breastfeeding and its impact on the public, in a range of community and public contexts in low- and middle-income countries. Our goal is to have these ten steps in every facility providing maternal services and care for newborn infants.
Videos, presentations, research, evidence, papers, training and counselling materials, tools, and many other related and supporting resources are available.
Visit us on-line a
http://tensteps.org
.

Every facility providing maternity services and care for newborn infants should: Give newborn infants no food or drink other than breast milk unless medically indicated.
For any breastfeeding babies being given food or drink other than breastmilk there should be acceptable medical reasons. No promotion for infant foods or drinks other than breastmilk should be displayed or distributed to mothers, staff, or the facility.
The sixth step stresses that a newborn baby must not be given any food or drinks other than breast milk unless it is medically indicated. As the pregnant women are counseled in advance and the hospital staff is trained, we rarely have to give anything other than colostrums -- the first breast milk to the babies.
More inf
http://tensteps.org/step-6-successful-breastfeeding.shtml
--.--
Ten Steps to Successful Breastfeeding - Video Series
Babies who are breastfed are generally healthier and achieve optimal growth and development compared to those who are fed formula milk.
If the vast majority of babies were exclusively fed breastmilk in their first six months of life -- meaning only breastmilk and no other liquids or solids, not even water -- it is estimated that the lives of at least 1.2 million children would be saved every year. If children continue to be breastfed up to two years and beyond, the health and development of millions of children would be greatly improved.
This video series aims to raise awareness, encourage early adoption, promote training of health care staff, and build capacity for, and to stimulate dialogue about, breastfeeding and its impact on the public, in a range of community and public contexts in low- and middle-income countries. Our goal is to have these ten steps in every facility providing maternal services and care for newborn infants.
Videos, presentations, research, evidence, papers, training and counselling materials, tools, and many other related and supporting resources are available.
Visit us on-line a
http://tensteps.org
.

Every facility providing maternity services and care for newborn infants should: Practice rooming-in - allow mothers and infants to remain together - 24 hours a day.
Mothers with normal babies (including those born by caesarean section) should stay with them in the same room day and night, except for periods of up to an hour for hospital procedures, from the time they come to their room after delivery (or from when they were able to respond to their babies in the case of caesareans). It should start no later than one hour after normal vaginal deliveries. Normal postpartum mothers should have their babies with them or in cots by their bedside unless separation is indicated.
The seventh step about rooming--in is very important. Unless medically indicated, the baby remains with the mother 24 hours a day. Unless the mother is heavily sedated, she keeps the baby next to her in her bed.
More inf
http://tensteps.org/step-7-successful-breastfeeding.shtml
--.--
Ten Steps to Successful Breastfeeding - Video Series
Babies who are breastfed are generally healthier and achieve optimal growth and development compared to those who are fed formula milk.
If the vast majority of babies were exclusively fed breastmilk in their first six months of life -- meaning only breastmilk and no other liquids or solids, not even water -- it is estimated that the lives of at least 1.2 million children would be saved every year. If children continue to be breastfed up to two years and beyond, the health and development of millions of children would be greatly improved.
This video series aims to raise awareness, encourage early adoption, promote training of health care staff, and build capacity for, and to stimulate dialogue about, breastfeeding and its impact on the public, in a range of community and public contexts in low- and middle-income countries. Our goal is to have these ten steps in every facility providing maternal services and care for newborn infants.
Videos, presentations, research, evidence, papers, training and counselling materials, tools, and many other related and supporting resources are available.
Visit us on-line a
http://tensteps.org
.

This was a presentation of an SSC essay I did wrote on Barrett's Oesophagus. Aims to summarise current management of Barrett's and promote the efficacy of endoscopic over surgical, management which is commonplace in Gloucester Hospital (where I was placed with a Gastro firm at the time)

This is a text article in which I have looked at the literature relating the age at operation with the post-operative complication of Faecal Incontinence. The reason for this was that I was involved in a legal case where a child was not diagnosed with Hirschsprung's Disease until 3 years of age. Subsequently he had faecal incintinence (not overflow). The question was asked by the lawyers 'would early diagnosis as a neonate' have avoided this problem? What do you think?